HomeMy WebLinkAbout41527-Z �o�guFFat,�COG Town of Southold 10/10/2017
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P.O.Box 1179
T 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39272 Date: 10/10/2017
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 825 Leslie Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.4-19.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/28/2017 pursuant to which Building Permit No. 41527 dated 4/12/2017
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
ACCESSORY IN-GROUND SWIMMING POOL,FENCED TO CODE, AS APPLIED FOR
The certificate is issued to Disapio,Charles
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41527 09-13-207
PLUMBERS CERTIFICATION DATED
0
th d Signature
SUfEo�,�, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • o� SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 41527 Date: 4/12/2017
Permission is hereby granted to:
Disapio, Charles
130 Pointe Mecox Ln
Bridgehampton, NY 11932
To: construct accessory in-ground swimming pool, fenced to code, as applied for.
7
At premises located at:
825 Leslie Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.4-19.1
Pursuant to application dated 3/28/2017 and approved by the Building Inspector.
To expire on 10/12/2018.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Buil ing or
Form No_6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5. Commercial building,industrial building, multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses:
1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Od'cupancy-Residential$15.00, Commercial$15.00
Date. 3 2 Z D 1 7
New Construction: v Old or Pre-existing Building: (check one)
Location of Property: Z s 1h S 12. �z t CV Ir CI o
House No. `� Street Hamlet
Owner or Owners of Property: �Ar�S 1-� \-5 eq�o
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision / Filed Map. Lot:
Permit No. C �� Date of Permit. Applicant.--
Health
pplicant:Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: (qhe k on )
Fee Submitted:
Applitnt Signature
pF SOUjy®l®
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 • �Q roper.richert(d-)town.southold.ny.us
Southold,NY 11971-0959 Q
l�cOUNT`i,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Dlsaplo
Address: 825 Leslie Road city Cutchogue st: New York zip: 11935
Budding Permit* 41527 Section: 97 Block: 4 Lot: 19.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: 5th Generation Electric License No: 58846-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks 1
Disconnect Switches Twist Lock Exit Fixtures �] TVSS
Other Equipment: Inground Swimming Pool to Include: Bonding, Control Panel, 2- GFCI Circuit
Breakers, Gas Pool Heater.
Notes:
Inspector Signature: Date: September 13, 2017
0-Cert Electrical Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULATIO�N,/
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) 6e/
REMARKS: fli weo, A f� 4 '
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DATE Y INSPECTOR
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TOWN OF SOUTHOLD BUILDING DEPT,
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I UL7,,�
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRIC (FINAL)
REMARKS:
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLSG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR - 9
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(IST) J
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FOUNDATION (2ND)
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval -
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,201 0 Single&Separate
Storm-Water Assessment Form
Contact:
Approved ,20__Lj Mail to:
Disapproved a/c
Phone: C1y9'_36 Z--961Z
Expiration ,20
D ���D V � u nspector
DPPLICATION FOR BUILDING PERMIT
MAR 2 8 2017 Date /"1 w(l 2 , 2017
INSTRUCTIONS
BUII.DWG DEM
T0VNQ21ggWThJbEbbe completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale.Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application,'the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what"so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Suffolk.County,New York,and other applicable Laws, Ordinances or
Regulations, for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The
applicant agrees to comply with all applicable laws,`ordinances,building code,housing code, and re •lations, and to admit
authorized inspectors on premises and in building for necessary inspections'
1 (Si nnaltui f1 applicant or name,if a corporation)
i n �V A All� I1ti1140��.
(Mailing-Address of applicant) NY I'�y
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder" (�
/_�ev\+ C-eon a I v% —rcc-b r
Name of owner of premises ��+ 1,4_5 D t 5CL t d
(As bn the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. 3 13 —I-7
1. Location of land onhick pro osed work will be done:
g_5 r.sc
iC(,+cLve
House Number Street uHamlet
County Tax Map No. 1000 Section 97
Block I Lot
Subdivision Filed Map No. Lot
2. State existing use and'occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and'occupancy
b. Intended use and occupancy_P60 .l
3. Nature of work-(check which"applicable):New Building I TM Addition Alteration
Repair 'Removal Demolition Other Work
(Description)
4. \Dimensions
ost Fee
(To be paid on,filing this application)
5. number of dwelling units Number of dwelling units on e� ch floor
umber of cars
-6. commercial or mixed occupancy, specify nature and extent of each ty e of use.
7. o xisting structures, if any: Front Rear Depth
Number of Stories
Dimensions of sa structure with alterations or additions: Front
Depth Height Number of Sfo'ries ' ` ,J t -.,,w..•-- ! 5
8. Dimensions of entire new onstructiori: Front"" i Bear ,.' 4 Depth r j
Height Number of Stories l
9. Size of lot: Front Rear Depth
N). Date of Purchase Name of Former Owner' '
1 I . Zone or use district in which premises re situated
1 . Does proposed construction violate any,z, ing law, ordinance or regulation?YES NO
1 . Will lot be re-graded? YES , .NO . , .Wi excess fill,be removed from premises?YES NO
1 . Names of Owner of premises Address Phone No.
Name of Architect ' Address Phone No,
Name of Contractor d'dress I Phone No.
15 a. Is this property-within 100 feet of a tidal wetland o a freshwater wetland? *YES NO
IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. R' ATS MAY BE REQUIRED.
b. Is this property within'300 feet of a tidal wet *'YES, NO
IF YES, D.E.C. PERMITS MAY BE REQUIRED,.D,
10. Provide survey, to scale, with accurate foundation plan and distances to property lines.
1 .,If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
Are there any covenants and restrictions with respect to this property? * YES NO
IF YES, PROVIDE A COPY.
S--ATE OF NEW YORK)'
SS:
COUNTY OF )
C-1 eo PC being duly sworn, deposes and says that(s)he is the applicant
(Name of ind' idual signicontract)above named,
(S)He is the G"t I ,n t/Ic.c+0r
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners and is dulyauthorized to perform or have performed the said work a� d to m i �e iron
P P .F� ���� .d ��� r
th t all statements contained in this application are true,to the best of his knowledge and,belie ; ands tyt �l oft iUf1? vi Yorlc
performed in the manner set forth in the application filed therewith. N0.,01 DA6086062
Qualified in Suffolk County
MY Commission Expires Jan 13,2019
S or}��efore me thi�a 20' 17
pp�� day of
,c ay- OctuL7
Notary Public Pature of Applicant
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JAPRO,VED AS NOTELL1 (ELECTRICAL
DATE: B.P.#!
D
INSPECTION REQUIRED
FEE: BY.
NOTIFY BUILDING DEPARTM AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
F(-,R POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING ;qME �a� °-� LY/e
3. INSULATION
Ii!!CTr!JN MUST Ek,LOSE OOL TO CODE
4. FINAL - CONS—
'iJPON &OMPLETION
BE COMPLETE rO ,, 0,0• 'tEFORE"WATER"
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOU
` ts.DEC
OCCUPANCYOR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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